Whether stoma support rods have application value in loop enterostomy: a systematic review and meta-analysis
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(2020) 18:269
REVIEW
Open Access
Whether stoma support rods have application value in loop enterostomy: a systematic review and meta-analysis Rui Du1, Jiajie Zhou1, Feng Wang1, Dongliang Li2, Guifan Tong1, Xu Ding2, Wei Wang3 and Daorong Wang3*
Abstract Purpose: The purpose of the systematic review and meta-analysis is to analyze the application value of the stoma support rods in loop enterostomy. Methods: The studies on the application of stoma rods in loop enterostomy published from January 2000 to January 2020 were searched in the databases of PubMed, Embase, Cochrane library, and Clinical trials. All randomized controlled trials (RCTs) and cohort studies that observed the value of stoma rods were included according to inclusion criteria. The RevMan5.3 software was used for statistical analysis. Results: A total of 1131 patients with loop enterostomy in six studies were included in this study; there were 569 cases in the experimental group and 562 cases in the control group. All six studies analyzed the effect of support rods on the incidence of stoma retraction; the meta-analysis showed that in a total of 32 patients, stoma retraction occurred, with a total incidence of about 2.8% in 1131 patients. The incidence of stoma retraction in the rod group was not significantly lower than that in the non-rod group, and the difference was not statistically significant (OR = 0.65, 95% CI 0.32~1.32, I2 = 0%, P = 0.23), and the studies were homogeneous. The incidences of stoma necrosis (OR = 6.41, 95% CI 2.22~18.55, I2 = 0%, P = 0.0006), peristomal dermatitis (OR = 2.93, 95% CI 2.01~4.27, I2 = 0%, P < 0.00001), and mucocutaneous separation (OR = 2.14, 95% CI 1.03~4.47, I2 = 0%, P = 0.04) were significantly increased in the rod group. Conclusions: It is not recommended to routinely use stoma support rods in the clinical practice. Keywords: Loop enterostomy, Colorectal cancer, Stoma support rods, Stoma retraction, Meta-analysis
Introduction Enterostomy is a common operation in colorectal surgery, which refers to leading a section of intestinal tube to the body surface to make an opening through surgery, to achieve the purpose of diverting intestinal contents. According to Chinese statistics [1], the total number of enterostomy patients in China has exceeded one million, and this number is still growing at the rate of 100,000 * Correspondence: [email protected] 3 Department of General Surgery, Northern Jiangsu People’s Hospital, Nantong Road No.98, Yangzhou 225001, China Full list of author information is available at the end of the article
per year, of which malignant tumor patients are the main stoma patients, while colorectal cancer ranks first. Furthermore, the global incidence of colorectal cancer is increasing year by year [2], and the number of patients undergoing enterostomy continues to increase. At present, surgical resection is still the main treatment for colorectal cancer, and the occurrence of postoperative anastomotic leakage is a difficult problem for surgeons. To reduce the occurrence of postoperativ
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